Average Medicaid Pulmonary Function Test Payments in Santa Fe, NM: $78.13
Avg. Paid
$78.13
Range
$6.69 – $109.46
Total Claims
5,411
Providers
15
Typical Payment Range
Typical Medicaid Pulmonary Function Test payments fall between $7.79 and $27.18 per claim (median: $14.27). The top 10% of payments exceed $63.77.
Based on per-provider averages across all Medicaid claims in this category.
Pulmonary function tests (PFTs) measure how well the lungs work. Used to diagnose and monitor lung diseases like asthma, COPD, and pulmonary fibrosis.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Pulmonary Function Test in Santa Fe, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tina Mier
3450 Zafarano Dr Unit C |
$9.82 | 13 | 13 |
|
Michael Angelo Lucia
4801 Beckner Rd |
$17.00 | 14 | 14 |
|
Karen Conner
1691 Galisteo St |
$27.91 | 26 | 26 |
|
Lynn A Devlin
4730 Beckner Rd |
$10.88 | 27 | 25 |
|
Deborah Sanchez
2801 Rodeo Rd |
$8.75 | 33 | 32 |
|
Luke Martin Gabe
465 Saint Michaels Dr Ste 209 |
$6.69 | 36 | 36 |
|
Carolyn A. Bauer
1651 Galisteo St Ste 8 |
$26.34 | 37 | 37 |
|
Janna Marie Tuck
1651 Galisteo St Ste 8 |
$25.64 | 58 | 54 |
|
Raymond C Galley
1651 Galisteo St Ste 8 |
$27.01 | 66 | 66 |
|
Andrew Ropp
3450 Zafarano Dr |
$10.13 | 183 | 181 |
|
Rachelle B Vega
4801 Beckner Rd # 2750 |
$27.75 | 193 | 189 |
|
Aja M. Sanzone
1405 Vegas Verdes |
$10.75 | 239 | 163 |
|
Tonilyn Hatch
1651 Galisteo St Ste 8 |
$27.21 | 241 | 234 |
|
Presbyterian Healthcare Services
4801 Beckner Road |
$109.46 | 1,425 | 1,253 |
|
St Vincent Hospital
455 Saint Michaels Dr |
$86.62 | 2,820 | 2,549 |
What to Expect: Pulmonary Function Test
Pulmonary function tests take 30-90 minutes. You'll breathe into a mouthpiece connected to a machine (spirometer) while following specific instructions — breathing in deeply, blowing out forcefully, etc. The tests measure lung capacity, airflow, and how well oxygen crosses into the blood. You should avoid smoking, heavy meals, and bronchodilators before testing as instructed.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 94640 | Airway inhalation treatment | $30.37 | 8,609,434 | 12,427 |
| 94010 | Spirometry | $25.10 | 3,948,184 | 7,404 |
| 94060 | Spirometry pre & post bronch | $45.36 | 2,638,065 | 6,502 |
| 94729 | Diffusing capacity (DLCO) | $21.36 | 2,183,703 | 5,880 |
| 94726 | Plethysmography lung volumes | $26.97 | 1,341,614 | 4,152 |
| 94375 | Respiratory flow volume loop | $31.08 | 795,469 | 1,665 |
| 94727 | Gas dilution lung volume | $21.85 | 595,656 | 1,579 |
| 94200 | Max breathing capacity test | $12.33 | 463,986 | 451 |
| 94150 | Vital capacity test | $9.49 | 274,717 | 389 |
| 94660 | CPAP initiation/management | $42.51 | 104,298 | 247 |
| 94728 | Airway resistance oscillometry | $26.43 | 61,324 | 92 |
| 94621 | Pulmonary stress test complex | $95.35 | 35,949 | 133 |
| 94070 | Bronchospasm provocation eval | $88.04 | 17,656 | 86 |
| 94620 | Pulmonary stress test simple | $7.99 | 35 | 1 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pulmonary Function Test cost in Santa Fe, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Santa Fe, NM is $78.13 per claim, based on 5,411 claims from 15 providers. Typical payments fall between $7.79 and $27.18. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pulmonary Function Test in Santa Fe, NM?
There are 15 Medicaid providers offering Pulmonary Function Test related services in Santa Fe, NM according to public payment data.
What is the price range for Pulmonary Function Test in Santa Fe, NM?
Medicaid reimbursement for Pulmonary Function Test in Santa Fe, NM ranges from $6.69 to $109.46 per claim, with an average of $78.13. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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